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General NPI Number Information
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NPI Number | 1871381954
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Entity Type | Organization
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Legal Business Name | GREAT ORTHOPEDIC ALLIANCE OF THERAPISTS
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 4201 N SHILOH DR STE 1580
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City | FAYETTEVILLE
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State | AR
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Zip | 72703
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Country | US
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Telephone | 479-250-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 N SHILOH DR STE 1580
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5307
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Country | US
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Telephone | 479-250-0222
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | CODY SEXTON
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Credential | DPT
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Telephone | 479-250-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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